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Office
Stony Brook, NY
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Urology
Languages spoken
English
Doctor Q&A
136 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Prostate gland: The prostate is a male gland that is found at the base of the urinary bladder. Its main role in the body is to provide a large amount of fluid into w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: A number of factors may impact whether or not t tumor idenitifed during cystoscopy are removed immediately or at a later date. These include the size... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 41-year-old male asked:
Dr. Howard Adleranswered
Urology 33 years experience
It is possible: Reflex erections are controlled by spinal nerve roots s2-s4, so it is possible that your spinal problem may be contributing to your erectile dysfuncti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 91-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Many reasons: Having had a catheter as well as being in a hospital and rehab setting all put you at greater risk for uti. Pelvic trauma put you at risk for having h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: Bcg is not a vaccine that prevents bladder cancer. It is used as a treatment for certain types of superficial bladder cancer by being placed directly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Several factors: There are a number of factors that one should consider in the treatment of prostate cancer. The first is whether or nor the cancer needs treatment as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
UTI is possible: Urinary tract infection may cause these symptoms. You should see your physician to have a physical and appropriatelab testing if you are having these ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 78-year-old male asked:
Dr. Howard Adleranswered
Urology 33 years experience
Not necessarily: A change of 0.74 to 0.84 is not a terribly big jump in six months. You should continue to have the psa checked by your urologist. If the psa continu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Infection: These symptoms could be due to a urianry tract as well as a kidney stone that is passing. See your physician as soon as possible so that appropriate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Blocking DHT: Two medications (avodart (dutasteride) and proscar) block an enzyme called 5 Alpha reductase. These medications block the conversion of testosterone ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: Most people can live with only one kidney - provided that kidney has normal function. Patients with medical problems like hypertension and diabetes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: There are a number of gene fragments (called single nucleotide polymorphisms or snp's) that have been found to be associated with prostat cancer, part... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Testicular mass: Testicular cancer is most commonly diagnosed due to painless mass in the testicle. Testicular tumors can grow quite rapidly (with a doubling time of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
It can be: Blood in the urine can be due to a number of issues - both benign and malignant. Kidney cancer - both localized and advanced may lbe casues of hematu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Water, water, water: Kidney stones may occur for a number for a number of different reasons. The most common is not drinking enough water. There are other reasons inclu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Howard Adleranswered
Urology 33 years experience
Healthy living: Nothing will change the length of the penis. Losing weight will make the penis appear larger as it will not be concealed in the pubic fat pad. As fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Hydrocele medication: Your surgeon will give you pain medication to take as needed after the operation. He/she will decide if you need any antibiotcs. Many patients do no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: A hydrocele is a collection of benign lymphatic fluid in the scrotum. Hydroceles do not cause cancer.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: Yes, if a man has bilateral hydroceles that warrant surgical intervention, it is possible to do both sides under the same anesthetic.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
It depends: There are different kinds of prostatitis. Types i and ii prostatitis are treated with antibiotics for at least 4 weeks. However type iii prostatitis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Anaplastic meaning: When a tumor is anaplastic, it means that it no longer looks like normal tissue. Tumors that are anaplastic are more aggressive and tend to have poor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: A hydrocele is a benign condition and is not at all likely to cause death. Many men have hydroceles and do not necessarliy require treatment.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsAnswered >2 years ago
A 62-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
PIN: Pin stands for prostate intraepithelial neoplasia. It is considered a pre-cancerous lesion; however it does not necessarily become malignant. Approx... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 62-year-old male asked:
Dr. Howard Adleranswered
Urology 33 years experience
Nerve grafts: Urologists have been studying nerve grafts (when the nerve bundles need to be removed) at the time of radical prostatectomy for over 13 years. Only ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 91-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
It depends: Many antiobiotics (including cipro) need to have the dosing adjsuted based on kidney function. Your doctor will be able to determine the best antibio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: A low testosterone level can be a casue of male infertility. If you and your partner are dealing with infertility, you should should both be working ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: An enlarged and hard testicle suggests the presence of a mass that may be testicular cancer. This should be evaluated urgently by your physician who ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: No, hydrocele surgery will not effect your sex life.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: Many prostate cancers are treatable when caught early. In addition, many men do not need treatment for prostate cancer as they will more likely die f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Not likely: While a low fat diest is a prostate healthy diet, it is unlikely that your son's psa level was elevated simply due to diet. There are a number of ben... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Surgery best: Not all varicoceles need to be treated; however, those that do are best managed with a microsurgical varicocelectomy. This is a straightforward, outp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
PCP or Urology: A urologist will be ale to do a full exam of testicles, penis, and your prostate if appropriate based on your age and/or symptoms. A priamry care phy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Low: Cystoscopy has low risks - pain/discomfort, infection, and bleeding. The risk of bladder perforation should be almost zero unless a biopsy or tumor r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 18-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
See your physician: This type of pain is non-specific and needs to be evaluated. You should see your physician as soon as possible. He/she will determine the tests you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 59-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: Patients who have chronic Foley catheters normally have bacterial colonization of the urine. Antiobiotics should only be used to treat symptomatic in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: Lyme disease is transmitted through tick bites. It is not a sexually transmitted disease. I\.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Howard Adleranswered
Urology 33 years experience
Several things: Have your physician confirm the diagnosis. You should drink a lot of water. Your physician will prescribe pain medication and may also prescribe a m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Kidney function: Patients with diabetes are at greater risk for losing renal function and possibly needing dialysis. So, a diabetic patient with a kidney cancer may n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
None: No particular food or drink will decrease stone size. Some stones (e.g., uric acid) can be reduced or dissolved by alkalinizing the urine with medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 52-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
No: No, women do not have a prostate. Women may experience lower urinary tract voiding symptoms which can be evaluated and (in many cases) treated depend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Just a day or two: Alph blockers like Flomax work very quickly to improve urinary symptoms. Most patients see a abenefit within a few days, but there are some patients ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: It depends as there are 4 types of prostatitis. History, symptoms, & urine culture will identify type's 1 & 2 as these are associated with bacterial ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:
I failed interferon treatment and bcg treatment for bladder cancer. is surgery the only option left?
Dr. Howard Adleranswered
Urology 33 years experience
Probably best option: If you have failed tretament with BCG and interferon, some patients may reposnd to treatment with valstar (valrubicin). However, depending on the spe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Possibly : Blood in the urine may be caused by many condiitions. Kidney stones are a possibility, but bladder cancer and kidney cancer cab alos present with bloo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: Kidney stones may lead to having bloody urine. You should also be checked to make sure tha there are not other issues including bladder or kidney canc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Needs reassessment: If your current physician is unable to provdie help or answers, then you need to see a urologist who deals with men and women with interstitial cystit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Not drinking enough: The most common cause of kidney stones is simply not drinkning enough water. However, there may be other problems as well, so it is important for you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Howard Adleranswered
Urology 33 years experience
Yes: Constipation may lead to urination issues including frequency, urgency, and even retention.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Age + 2 (in ounces): The way to estimate a child's bladder capacity is to take the age of teh child (in years) and add 2. This give the number of ounces that a child's bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Howard Adleranswered
Urology 33 years experience
Recurrent UTI's: Recurrent urinary tract infections need to be evaluated and managed appropriately. You should see a urologist and have appropriate testing which will... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
469
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Adler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Adler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Jan 15, 2012
straight to the point. very professional
HealthTap member
Thanks for your response! This all began with a sneeze. Since then I've seen a urologist who did a physical exam, but no cystoscopy. A ct w contrast showed no abnormalities, but an mri showed some iss...Read More
HealthTap member
thank you very much! now i know where is the line behind which ER help is necessary. it is always a big questuon if you should drink a little bit more water or it is already enough.. thank you!
HealthTap member
Thanks.Disappointed with my urologist leaving me in this state for 5mth.I will await results to see if TB. Gynae&Muscularskeletal ruled out.
Education & Training
Medical/Graduate school
Mount Sinai School of Medicine, NY
Graduated 1990MD
Awards
HealthTap Founding Doctor
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